| NPI | 1972649473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MAULE Director Of Business Operations 608-692-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-05-08 |